This is a 39-year-old woman, G3P1 (C-Section) A1, non-contributive history.
In the first 10 weeks + 4 days of gestation, I found a cystic hygroma and and I thought in a monosomy X0. The next ultrasound at 11 weeks + 5 days revealed post axial polydactyly. The patient asked for another ultrasound at 13 weeks. Omphalocele, hypertelorism and pathologic nuchal translucency thickness was found. Amniocentesis at 15 weeks revealed 47XY,+13.

Image 1-4: Cystic hygroma and nuchal translucency thickness

Image 5, 6: Post axial polydactyly and Hypertelorism

Image 7: Omphalocele

Image 8: Gender appearance of a female fetus.

Image 9-11: Postnatal appearance and genetic result show omphalocele, post axial polydactyly of right hand and ambiguous genitalia with genetic masculine.